FIRST SCHEDULE (Form 13) (MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)

Pg. P.U. 5/2000
MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)
RULES 2000

FIRST SCHEDULE (Form 13)

FORM 13

(Rule 13)

DIVORCE CERTIFICATE

Marriage Certificate No. .................................................................

Divorce Certificate No. ....................................................................

Name of Husband ......................................................................... I.C. No. ....................................................

Address ................................................................................................................................................................

Age ...................................................................... Occupation ............................................................................

Name of Wife ................................................................................... I.C. No. ..................................................

Address ................................................................................................................................................................

Age ...................................................................... Occupation ............................................................................

Date of Marriage .................................................................................................................................................

Name of Witness (1) ......................................................................... I.C. No. ................................................

Name of Witness (2) ......................................................................... I.C. No. ................................................

Mode of divorce .................................................... Talak................................... lafaz ...................................

Tebus talak payment (if any) ...........................................................................................................................

Place of divorce ................................................................. Date of divorce .....................................................

Divorce in suci/menstruation/pregnant*

.........................................................................

Maintenance during eddah ................................................................................................................................

Maintenance of children .....................................................................................................................................

Mut'ah .....................................................................................................................................................................

Settlement of property, etc. ..................................................................................................................................

Date .........................................................

..................................................................
Registrar

* Delete whichever is not applicable